VINCENZA M PETKOVSEK Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209003915

License Status

INACTIVE

Business

First Name

VINCENZA M

Last Name

PETKOVSEK

Business Name

VINCENZA M PETKOVSEK

Original Issue Date

10/19/2001

Effective Date

05/06/2014

Expiration Date

05/31/2016

City

WAUKEGAN

State

Zip

60079

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2016